5ER-16077-30123

3 vaccinations 10 coded responses 26 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 200 / DC
Registered: 2021-01-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Moderna
2021-01-23
Survey response — day 0, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: Just a little stiffness in wrist and fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Swelling

Free text: Fingers are a little stiff and spot is sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Swelling

Free text: Fingers are still alittle stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I'm not sure if my issue is related to my shot or not but the last few days my breathing has been off.I have made an appointment with my Primary. · Healthcare visit (other): I made an appointment to see my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Swelling

Free text: Stiffness still in my fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-20
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Good · Site: Redness

Free text: Arm feels a little sore and stiff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stiffness of fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling — Feeling: Good · Site: Swelling

Free text: Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Breathing issues/shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Call 1 — Left Voicemail
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot — Feeling: Good · Site: Pain, Redness

Free text: Area is just a little warm

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-11-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna
3	2021-11-04	Moderna	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): Just a little stiffness in wrist and fingers

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Fingers are a little stiff and spot is sore

2021-01-25

Systemic reaction (other): Fingers are still alittle stiff

Release 3 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): I'm not sure if my issue is related to my shot or not but the last few days my breathing has been off.I have made an appointment with my Primary.

Healthcare visit (other): I made an appointment to see my doctor

2021-01-29

Systemic reaction (other): Stiffness still in my fingers

Release 4 — day 0, dose 2

2021-02-20

Systemic reaction (other): Arm feels a little sore and stiff

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Stiffness of fingers

2021-02-23

Systemic reaction (other): Swelling

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Breathing issues/shortness of breath

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Area is just a little warm

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Unevaluable event	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Swelling	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release